Ultrasound, leg veins (duplex)
Facility: Nemaha Valley Community Hospital
Billing Code: 93970 (CPT)
- CPT Billing Code: 93970
- Insurance Median: $467
- Cash Discount Price: $786
- vs. Medicare Baseline: 1.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $384 | 158% |
| Va Ccn - All Plans | $384 | 158% |
| Aetna | $388 - $742 | 159% |
| Celtic Comm Exch - All Plans | $423 | 174% |
| Partners Direct Health - All Plans | $454 | 186% |
| Blue Cross Blue Shield | $481 | 197% |
| Multiplan - All Plans | $786 | 322% |
| Midlands Choice - All Plans | $829 | 340% |
| Health Partners - All Plans | $829 | 340% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure of leg veins (duplex) at Nemaha Valley Community Hospital in Seneca, KS, the cash median price is $786.00, which is significantly lower than the facility's gross charge of $873.00. While the hospital's negotiated rates with insurance payers range from $384 to $829, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that the facility is a Critical Access Hospital in a rural area, and while the data does not provide specific county or state average comparisons for this specific code, patients should always verify if their specific insurance plan's negotiated rate is higher than the cash price before scheduling.
To ensure you are receiving the best possible rate, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if you pay in full upfront, effectively bypassing the administrative costs associated with insurance claims processing. If you choose to use insurance, remember that the allowed amount varies by payer, with Humana and VA plans at $384 and Aetna ranging from $423 to $742, so comparing these specific allowed amounts against your cash price is essential for determining the most economical path forward.